Parametric system for risk sharing of critical illness risks and corresponding method thereof

Abstract

Proposed are a parametric, event-driven critical illness insurance system based on a resource-pooling system (1) and method for risk sharing of critical illness risks of a variable number of risk exposure components (21, 22, 23) by providing a dynamic self-sufficient risk protection for the risk exposure components (21, 22, 23) by means of the resource-pooling system (1). The resource-pooling system (1) comprises an assembly module (5) to process risk-related component data (211,221,231) and to provide the likelihood (212, 222, 232) of said risk exposure for one or a plurality of the pooled risk exposure components (21, 22, 23, . . . ) based on the risk-related component data (211, 221, 231). The risk exposure components (21,22,23) are connected to the resource-pooling system (1) for the pooling of their risks and resources, and wherein the resource-pooling system (1) comprises an multiple event-driven core-engine (3) with critical illness triggers (31, 32, 33) triggering in a patient dataflow pathway (213,223,233) to provide risk protection for a specific risk exposure component (21,22,23). The operation of the resource pooling system (1) is further supported by a parametric risk-cover related to multiple occurrences of critical illness parameters 71,72,73 triggered in the related patient data flow pathway (213, 223, 233).

Description

FIELD OF THE INVENTION[0001]The present invention relates to resource-pooling systems for providing risk sharing of critical illness risks of a variable number of risk exposure components by providing a dynamic self-sufficient risk protection for the risk exposure components by means of the critical illness insurance system. In particular, the invention relates to automated event-driven systems triggering on the patient dataflow pathway.BACKGROUND OF THE INVENTION[0002]These days, there is significant risk exposure related to many aspects in life and non-life sectors. Risk exposed units as any kinds of objects, individuals, corporate bodies and / or legal entities, necessarily are confronted with many forms of active and passive risk management to hedge and protect against the risk of certain losses and events. In the prior art, one way to address such risk of loss is based on transferring and pooling the risk of loss from a plurality of risk exposed entities to a dedicated pooling en...

AI Technical Summary

Benefits of technology

The patent text describes a system for handling critical illnesses in a way that reduces risk and improves financial stability. The system uses a critical illness trigger to verify the occurrence of critical illness in a patient's data flow pathway and can make conditional payments only when the critical illness is confirmed. This prevents fraud and ensures operational and financial stability.

Problems solved by technology

However, many systems fail to take over risk transfers if the individual suffered from the insured condition, before the risk transfer was activated (this is known as the Pre-Existing Condition Exclusion), or because the individual suffered from a condition that led to a claim under the insured illness—for example, it was known that an individual suffered from high blood pressure before the risk transfer being activated, and suffered a stroke after the risk transfer had been activated.

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